This book addresses and summarizes the main andrological disorders (genital, reproductive or sexual diseases) that may originate in childhood or adolescence. Since many of the andrological diseases that occur in adulthood originate before the age of 18 and sometimes even during gestation, andrological evaluation is essential during childhood to highlight anomalies in the genital organs. During puberty, evaluation can help to monitor growth and secondary sex characteristics, and to assess e.g. the possible presence of an eunucoid habitus, gynecomastia, testicular hypotrophy or varicocele, a very common pathology in young people. During adolescence, the assessment of risk factors, such as those related to certain lifestyles, is of fundamental importance for primary prevention. Moreover, in late adolescence the focus shifts to preventing sexually transmitted infections, or to dealing with possible discomforts related to the sexual sphere. Finally, ensuring young people’s genital and sexual health also means protecting their fertility. Written by respected experts in the field, this book constitutes an innovative resource, combining updated, reliable and comprehensive information with agile consultation in order to provide a streamlined approach to the care of children and adolescents with such disorders.

The aim of this book is twofold: to promote an awareness of cultural differences in connection with sexual medicine among health care providers, and to demonstrate how such differences are relevant to the care and treatment of patients with sexual issues. Individual sexuality represents the cumulative effects of biological, psychological, and cultural influences. Yet much of the study of sexuality—including issues ranging from sexual identity to sexual response—has been conducted through a Western lens. Although a substantial body of work in anthropology has taken up the study of human sexuality from a cross-cultural perspective, two points are notable. First, this work seldom crosses the desks of medical and psychological health practitioners, and second, the relevance of specific cultural differences is rarely apparent to the typical sexual health practitioner. To address this situation, this book adopts a global perspective, focusing on how cultural practices and values can impact health care, treatment, and outcomes. In this regard, it covers three broad domains: Sexual Identity and Orientation; Sexual Response and Dysfunction; and Sexual Diversity. Each chapter consists of two parts: a general description of the relevant issues, and a discussion of how these issues can be relevant to clinical practice. The book offers a valuable, practical tool for specialists in sexual medicine and sexual psychology, for sexual healthcare givers, and for sexological researchers who want to better serve their patients by developing an awareness of and sensitivity to cultural differences, and by providing a framework for dealing with issues of sexuality and sexual health that takes cultural values into consideration, while adhering to best practices in patient care.

This book addresses the fundamental importance of the proper assessment and treatment of sexual disorders in patients with mental disorders with regard to their treatment outcomes and adherence to therapies. In fact, patients with mental disorders often suffer from sexual dysfunctions and in many cases, pharmacological treatment causes sexual-dysfunction side-effects. However, anxiety disorders, personality disorders, eating disorders and psychotic disorders are often also characterized by sexual symptoms that have a profound impact on sexual function. The psychopathology of sexual behavior investigates deficits in the mind-body relationship that are expressed through sexual symptoms such as erectile dysfunction, premature ejaculation, vaginismus, orgasmic disorders, or lack of sexual desire. These symptoms can be considered both prodromal and as a consequence of psychological or psychiatric suffering. Written by a multidisciplinary team of experts, this book offers a valuable guide for psychiatrists, andrologists, gynecologists and psychologists.

Andrology is a decidedly interdisciplinary field in which several specialities participate. Accordingly, this volume is addressed to all concerned with male reproductive health: Andrologists, gynecologists, urologists, internists, endocrinologists, dermatologists, basic researchers. The volume comprises basic science as well as clinical andrology and includes chapters on: Biology of reproduction, testicular function, sperm maturation and fertilization, endocrinology of the male, environmental factors, psychology, senescence, contraception; as well as chapters on the diagnosis and therapy of andrological diseases including: Infertility, hypogonadism, assisted reproduction: ICSI and TESE, therapy with testosterone, erectile dysfunction.

The average physician and even cancer care-givers are not knowledgeable about the effects of cancer treatment on sex and reproductive life. They are even less aware of the options available for treatment of such patients. Cancer and Sexual Health fills a great need for a reference work devoted to the link between cancer and human sexuality. The volume is designed to give a comprehensive and state-of-the-art review of the sexual and reproductive consequences of cancer diagnosis and treatment. It will prove an invaluable resource for those clinicians caring for cancer patients as well as acting as a reference text for the sexual medicine clinician who may not see a large number of cancer patients.

The new international standard reference work for sexual medicine Written under the auspices of the International Society for Sexual Medicine, (www.issm.info), the leading professional society in sexual medicine and founder of the most influential journal in the field, The Journal of Sexual Medicine, published by Blackwell Publishing Comprehensive coverage of the full range of diagnostic and treatment options in all aspects of male and female sexual dysfunctions Provides information on recent progress in pharmacologic approaches, including the highly successful drug treatments for ED Useful for any part of the patient-clinician consultation, from gathering symptoms to diagnosis to treatment to reports on potential and developing treatments

Herbal Medicine in Andrology: An Evidence-Based Update provides a comprehensive overview of ethnomedical approaches in andrology, including ethnopharmacology of plant extracts and relevant bioactive compounds. It highlights information on the availability of medicinal plants and the legal and procedural processes involved in developing a marketable product. This reference helps clinicians and scientists develop an understanding on how herbal medicine can be used to treat andrological patients in practice. Only a limited number of journal articles are available on this topic, making this reference a valuable source of information for a large audience, including urologists, andrologists, gynecologists, reproductive endocrinologists and basic scientists. - Provides essential evidence-based information about herbal medicine - Offers an ethnopharmacological background on bioactive compounds in certain plant extracts - Educates the basic scientist and clinician on the use of herbal medicines in andrology - Provides an update to recent advances on herbal medicine in andrology from world experts

An analysis of all the current avenues of treatment with emphasis on multidisciplinary considerations. Select international authorities present in-depth coverage of their areas of expertise, each topic covering the background, anatomy, physiology, diagnosis, classification, and treatment. Part I focuses on the study of male infertility and includes discussions of the basic sciences, office evaluation, laboratory and imaging techniques, and the use of testicular biopsy. This is followed by specialised chapters dealing with immunologic infertility, genital inflammation, reactive oxygen species, medical management, sperm processing and preventive adolescent andrology. Part II reflects a more diverse format in the coverage of sexual dysfunction and includes discussions of androgen insufficiency, nocturnal penile tumescence studies, neurotransmission, penile neurology, premature ejaculation, psychogenic impotence and the latest medical, non-invasive and surgical treatments.

Though sexual medicine is probably among the oldest of medical specialties, in fact not much was spoken about the subject till Kinsey published his first report in 1948. Speaking of sex was not considered a taboo by ancient civilizations, but this has not continued into the modern era. Herein lies the principle problem...patients and even doctors are not willing to openly discuss sexuality and sexual health. Healthcare professionals also fail to discuss these pertinent issues due to a lack of time, resources and general fear of causing offense. More importantly, there seems to be a lack of good training. Societies like the International Society of Sexual Medicine and European Society of Sexual Medicine (ESSM) are actively taking up the cause and furthering research into this particular field. Considering that the prevalence of male and female sexual dysfunction in the general population ranges between 2 and 10%, the need of the hour is to train more doctors to professionally practice sexual medicine. Good textbooks on sexual medicine for primary healthcare providers are few and far between. The ESSM has come out with a working syllabus but a more concise text is still lacking. This book, Sexual Medicine – Principles and Practice, aims to bridge that gap by presenting scientific principles in the treatment of male and female sexual dysfunction, while also highlighting numerous recent advances. Reviewing basic principles like assessment of male and female sexual function and/or dysfunction, along with sex therapy, it offers an essential reference guide for physicians, surgeons, gynecologists, urologists, and all those wish to practice sexual medicine

Call it a remnant of our Victorian past, but sexual concerns lag behind other aspects of health, both in the training of physicians and therapists and in the way they impart this knowledge to clients. But as sexuality gains recognition as crucial to one’s quality of life, evidence-based methods of understanding and discussing sex are imperative—and not only in treating pathology. Sexual Medicine in Clinical Practice provides framework, rationale, and strategies for both approaching sexual problems and addressing patients’ questions about sexual health, behavior, and relationships. Analyzing sexuality along three dimensions—attachment, reproduction, and desire—this concise manual offers a biopsychosocial lifespan model readily translatable into clinical work. This “syndyastic” framework integrates attachment and relational theory to reinforce the bond between intimacy and connectedness, and models nonjudgmental approaches to disorders of sexual function, maturity, preference, and behavior. The authors’ salutogenic rather than pathogenic focus lets clients become major players in their own healing, and the therapist or doctor serve as expert and guide. Among the topics covered: The communicative function of sexuality. The spectrum of sexual disorders. Principles of diagnostics in sexual medicine. Disease-centered versus client-centered aspects of sexual therapy. Therapeutic approaches for sexual traumatization. New challenges, including preventing child sexual abuse and online sex crime. Plus case studies, interdisciplinary references, and ethical issues. A timely, perspective- and practice-altering volume, Sexual Medicine in Clinical Practice is essential reading for family and primary care physicians, family and sex therapists, health psychologists, and psychiatrists.